2011—2021年辽宁省丹东市居民慢性阻塞性肺疾病死亡及寿命损失趋势分析

职业与健康 ›› 2025, Vol. 41 ›› Issue (4): 510-514.

2011—2021年辽宁省丹东市居民慢性阻塞性肺疾病死亡及寿命损失趋势分析

阎佳宁^1a, 孙继绪², 侯晓烨², 佟爽^1a, 于连政^1b

1.辽宁省疾病预防控制中心 a 慢性非传染性疾病防制所,b 环境卫生所,辽宁沈阳 110172;
2.丹东市疾病预防控制中心慢病科,辽宁丹东 118002

收稿日期:2024-06-18 修回日期:2024-07-15 出版日期:2025-02-15 发布日期:2025-12-12
通信作者: 于连政,主任医师,E-mail：cdcylz@163.com
作者简介:阎佳宁,女,主管医师,主要从事慢性非传染性疾病预防控制工作。
基金资助:
中央财政转移支付地方项目死因监测项目（2016）

Analysis on the trend of death and life loss of residents with chronic obstructive pulmonary disease in Dandong City of Liaoning Province from 2011 to 2021

YAN Jianing^1a, SUN Jixu², HOU Xiaoye², TONG Shuang^1a, YU Lianzheng^1b

1. a Institute of Prevention and Control of Chronic Noncommunicable Diseases,b Institute of Environmental Health,Liaoning Center for Disease Control and Prevention,Shenyang,Liaoning 110172,China;
2. Institute of Prevention and Control of Chronic Noncommunicable Diseases,Dandong Center for Disease Control and Prevention,Dandong,Liaoning 118002,China

Received:2024-06-18 Revised:2024-07-15 Online:2025-02-15 Published:2025-12-12
Contact: YU Lianzheng,Chief physician,E-mail：cdcylz@163.com

摘要/Abstract

摘要： 目的分析2011—2021年丹东市慢性阻塞性肺疾病（chronic obstructive pulmonary disease,COPD）死亡水平及疾病负担趋势变化。方法采用丹东市COPD死因监测数据,计算COPD粗死亡率、标化死亡率、早死概率、过早死亡损失寿命年（years of Life Lost,YLL）、平均减寿年数（average years of life lost,AYLL）等指标变化趋势。率的比较采用χ²检验,用Joinpoint 4.9.1软件计算率的年度变化趋势（annual percent of change,APC）。结果 2011—2021年丹东市COPD粗死亡率为20.25/10万,标化死亡率为16.79/10万,早死概率为0.25%,YLL率为100.87/10万,标化YLL率为83.72/10万,AYLL为4.98年/人,标化AYLL为4.99年/人。COPD的标化死亡率呈下降趋势（APC=-6.18%,P<0.01）;早死概率呈下降趋势（APC=-7.94%,P<0.01）;男性标化死亡率、早死概率均高于女性,差异有统计学意义（P<0.05）。标化YLL率由2011年的83.72/10万下降至2021年的47.74/10万,APC为-7.64%（P<0.01）。标化AYLL由2011年的5.56年/人下降至2021年的4.83年/人,APC为-7.61%（P<0.05）。结论 2011—2021年丹东市COPD死亡率与寿命损失呈下降趋势,但疾病负担仍处于较高水平,应将男性居民作为重点关注人群,加强COPD的综合防治。

关键词: 慢性阻塞性肺疾病, 早死概率, 疾病负担

Abstract: Objective To analyze the mortality level and disease burden trend of chronic obstructive pulmonary disease（COPD） in Dandong from 2011 to 2021. Methods The monitoring data on COPD mortality in Dandong were used to calculate the trends of index such as crude mortality,standardized mortality,premature death probability,years of life lost（YLL）,and average years of life lost（AYLL）. The Chi-squared test was used to compare the rates and JoinPoint 4.9.1 software was used to analyze the annual percent of change（APC）. Results From 2011 to 2021,the crude mortality rate of COPD in Dandong was 20.25/100 000,the standardized mortality rate was 16.79/100 000,the premature death probability was 0.25%,the YLL rate was 100.87/100 000,the standardized YLL rate was 83.72/100 000,the AYLL rate was 4.98 years per person,and the standardized AYLL was 4.99 years per person. The standardized mortality rate of COPD showed a decreasing trend（APC=-6.18%,P<0.01）. The probability of premature death showed a decreasing trend（APC=-7.94%,P<0.01）. The standardized mortality rate and probability of premature death in males were higher than those in females,with statistically significant differences（both P<0.05）. The standardized YLL rate decreased from 83.72/100 000 in 2011 to 47.74/100 000 in 2021,with the APC being -7.64%（P<0.01）. The standardized AYLL decreased from 5.56 years per person in 2011 to 4.83 years per person in 2021,with the APC being-7.61%（P<0.05）. Conclusion From 2011 to 2021,the mortality rate and life loss of COPD in Dandong City showed a downward trend,but the disease burden was still at a high level. Male residents should be focused on to strengthen the comprehensive prevention and treatment of COPD.

Key words: Chronic obstructive pulmonary disease, Probability of premature death, Disease burden

阎佳宁, 孙继绪, 侯晓烨, 佟爽, 于连政. 2011—2021年辽宁省丹东市居民慢性阻塞性肺疾病死亡及寿命损失趋势分析. [J]职业与健康, 2025, 41(4): 510-514.

YAN Jianing, SUN Jixu, HOU Xiaoye, TONG Shuang, YU Lianzheng. Analysis on the trend of death and life loss of residents with chronic obstructive pulmonary disease in Dandong City of Liaoning Province from 2011 to 2021. [J]OCCUPATION AND HEALTH, 2025, 41(4): 510-514.

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